Sean Luke Davidson

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

AR3886 Issued in AR

Practice address

3305 Malloy St
Little Rock, AR 72204-4480

Phone

(501) 412-5520

NPI assigned

Aug 6, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sean'S Crisis Center

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1568081388

  Single Specialty

  NPD Authorized official
• The Davidson Hospital

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1356996136
  NPD Authorized official
• Social Justice LR Corp Management Holdings

  • Community/Behavioral Health Agency
  • Dearborn, MI
  • NPI 1922782937

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1043865082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 MALLOY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722044480",
            "telephone_number": "501-412-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MALLOY ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722044480",
            "telephone_number": "501-412-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SEAN",
        "middle_name": "LUKE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "AR",
            "license": "N-7808",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "AR3886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040114",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Davidson, SLP
• Kent Wallace Davidson, MD
• Michael Alex Davidson, LICENSED PRACTICAL N
• Parker B Davidson, MD
• Rhonda S Davidson, RN
• Angelica Davie, QBHP
• Melanie H Davie, MD
• Tina A Davie, RN
• Elyssa Jean Davies, COTA/L
• Sharyn Hilles Davies, SLP

• Hospitalist Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Hospitalist Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.